Would You
Like to Be a Nurse?
Nursing can
be an extremely rewarding profession if you are a dedicated, compassionate
individual who can develop a good rapport with all types of people.
If you’ve
thought about becoming a Nurse, but still aren’t sure this profession is for
you, this section will give you information to help make your decision easier.
Definitions
of Nursing
In all
states nursing is regulated by a Practice Act. In
Illinois
it is the Illinois Nursing and Advanced
Practice Nursing Act. The Practice
Act defines both Registered Professional Nursing and Licensed Practical
Nursing. Those definitions are
(i)"Practical nurse" or
"licensed practical nurse" means a person who is licensed as a
practical nurse under this Act and practices practical nursing as defined in
paragraph (j) of this Section. Only a practical nurse licensed under this Act
is entitled to use the title "licensed practical nurse" and the
abbreviation "L.P.N.".
(j) "Practical nursing" means the performance
of nursing acts requiring the basic nursing knowledge, judgment, and skill
acquired by means of completion of an approved practical nursing education
program. Practical nursing includes assisting in the nursing process as
delegated by and under the direction of a registered professional nurse. The
practical nurse may work under the direction of a licensed physician, dentist,
podiatrist, or other health care professional determined by the Department.
(k) "Registered Nurse" or "Registered Professional
Nurse" means a person who is licensed as a professional nurse under this
Act and practices nursing as defined in paragraph (l) of this Section. Only a
registered nurse licensed under this Act is entitled to use the titles
"registered nurse" and "registered professional nurse" and
the abbreviation, "R.N.".
(l) "Registered professional nursing
practice" includes all nursing specialties and means the performance of
any nursing act based upon professional knowledge, judgment, and skills acquired
by means of completion of an approved registered professional nursing education
program. A registered professional nurse provides nursing care emphasizing the
importance of the whole and the interdependence of its parts through the
nursing process to individuals, groups, families, or communities, that includes
but is not limited to: (1) the assessment of healthcare needs, nursing
diagnosis, planning, implementation, and nursing evaluation; (2) the promotion,
maintenance, and restoration of health; (3) counseling, patient education,
health education, and patient advocacy; (4) the administration of medications
and treatments as prescribed by a physician licensed to practice medicine in
all of its branches, a licensed dentist, a licensed podiatrist, or a licensed
optometrist or as prescribed by a physician assistant in accordance with
written guidelines required under the Physician Assistant Practice Act of 1987
or by an advanced practice nurse in accordance with a written collaborative
agreement required under the Nursing and Advanced Practice Nursing Act; (5) the
coordination and management of the nursing plan of care; (6) the delegation to
and supervision of individuals who assist the registered professional nurse
implementing the plan of care; and (7) teaching and supervision of nursing
students. The foregoing shall not be deemed to include those acts of medical
diagnosis or prescription of therapeutic or corrective measures that are
properly performed only by physicians licensed in the State of
Illinois.
Additionally
the Rules for the Administration of the Illinois Nursing Act include minimal
skills lists for Registered Nurses and Licensed Practical Nurses. They are also listed here:
The minimal
skills for registered professional nurses …are as follows:
a)
Nursing Care Plan
Take a
complete history and do a complete physical assessment, including all body
systems, to develop a nursing care plan.
b)
Standard Precautions and Infection Control
Demonstrate
aseptic technique, isolation technique, reverse isolation technique and central
line site care.
c)
Medications
Demonstrate
ability to calculate dosages. Prepare and administer oral, ear, eye,
subcutaneous, intramuscular, Z-track (method of injection), and intradermal
medications. Identify and utilize different types of needles, syringes,
vials, ampoules and tubex.
d)
Intravenous (IV) Therapy
Set up
equipment for starting an IV and demonstrate ability to start an IV.
Demonstrate ability to start, stop and adjust intravenous pump. Demonstrate
understanding of blood administration procedures and, if available, start a
blood administration.
e)
Fluids
Calculate
intake and output for complex conditions: intravenous, hyperalimentation,
bladder irrigations and nasogastric tube.
f)
Cardiovascular System
Locate all
pulses and demonstrate use of Doppler. Set up the equipment for central
line insertion.
g)
Pulmonary System
Perform
chest percussion, postural drainage and coughing. Demonstrate tracheostomy
care and suctioning. Collect a sputum specimen. Monitor chest
drainage and closed chest drainage systems. Transport patients with
oxygen. Describe different types of oxygen administration equipment. Do
preoperative teaching, including deep breathing, coughing and pursed lip
breathing.
h)
Gastrointestinal System
Insert
nasogastric tube. Administer tube feeding and medications by nasogastric
tube. Identify ileostomy and colostomy appliances.
i)
Genitourinary System
Identify
types and general sizes of catheters. Describe procedure for male and
female catheterization and do catheterization (if available). Set up post
TUR irrigation and do post transurethral resection (TUR) irrigation. Collect
urine specimens.
j)
Neurological and Musculoskeletal Systems
Demonstrate
range of motion exercises and crutch walking. Demonstrate proper turning
of patients, e.g., a hip replacement patient.
k)
Endocrine System
Do
self-monitoring of blood glucose.
l)
Reproductive Systems
Perform
episiotomy care.
The minimal
skills for licensed practical nurses…are as follows:
a)
Nursing Care Plan
Participate
in the collection of data with the registered nurse to assist in developing a
nursing care plan.
b)
Standard Precautions and Infection Control
Demonstrate
aseptic technique, isolation technique and reverse isolation technique.
c)
Medications (administration under supervision of registered nurse)
Demonstrate
ability to calculate dosages. Prepare and administer oral, ear, eye,
subcutaneous, intramuscular, z-track (method of injection), and intradermal
medications. Identify and utilize different types of needles, syringes,
vials, ampoules and tubex.
d)
Intravenous (IV) Therapy (performed under supervision of registered nurse)
Set up
equipment for starting an IV and demonstrate ability to adjust and stop
intravenous pump. Hang intravenous fluids and calculate rate. Discontinue
fluids.
e)
Fluids
Calculate
intake and output for complex conditions: monitor intravenous,
hyperalimentation, bladder irrigations and nasogastric tube.
f)
Cardiovascular System
Locate all
pulses and demonstrate use of Doppler.
g)
Pulmonary System
Perform
chest percussion, postural drainage and coughing. Demonstrate
tracheostomy care and suctioning. Collect a sputum specimen.
Monitor chest drainage. Transport patients with oxygen. Describe
different types of oxygen administration equipment. Do preoperative teaching,
including deep breathing, coughing and pursed lip breathing.
h)
Gastrointestinal System
Insert
nasogastric tube. Administer tube feeding and medications by nasogastric
tube. Identify ileostomy and colostomy appliances.
i)
Genitourinary System
Identify
types and general sizes of catheters. Describe procedure for male and
female catheterization and do catheterization (if available). Set up post
TUR irrigation and do post transurethral resection (TUR) irrigation. Collect
urine specimens.
j)
Neurological and Musculoskeletal Systems
Demonstrate
range of motion exercises and crutch walking. Demonstrate proper turning
of orthopedic patients, e.g., a hip replacement patient.
k)
Endocrine System
Do
self-monitoring of blood glucose.
l)
Reproductive Systems
Perform
episiotomy care.
The above
definitions of nursing and practical nursing and the list of minimal skills for
each excerpted from the Nursing Act and Rules give you an idea about the Scope
of Nursing Practice. The Bureau of Labor Statistics describes
the Nature of the Work on its website and will give you a pretty broad
perspective on the work of nurses. The
Bureau says the following about nursing:
Registered
nurses (RNs), regardless of specialty or work setting, perform basic duties
that include treating patients, educating patients and the public about various
medical conditions, and providing advice and emotional support to patients’
family members. RNs record patients’ medical histories and symptoms, help to
perform diagnostic tests and analyze results, operate medical machinery,
administer treatment and medications, and help with patient follow-up and
rehabilitation.
RNs teach
patients and their families how to manage their illness or injury, including
post-treatment home care needs, diet and exercise programs, and
self-administration of medication and physical therapy. Some RNs also are
trained to provide grief counseling to family members of critically ill
patients. RNs work to promote general health by educating the public on various
warning signs and symptoms of disease and where to go for help. RNs also might
run general health screening or immunization clinics, blood drives, and public
seminars on various conditions.
RNs can
specialize in one or more patient care specialties. The most common specialties
can be divided into roughly four categories—by work setting or type of
treatment; disease, ailment, or condition; organ or body system type; or
population. RNs may combine specialties from more than one area—for example,
pediatric oncology or cardiac emergency—depending on personal interest and
employer needs.
RNs may
specialize by work setting or by type of care provided. For example, ambulatory
care nurses treat patients with a variety of illnesses and injuries on an
outpatient basis, either in physicians’ offices or in clinics. Some ambulatory
care nurses are involved in telehealth, providing care and advice through
electronic communications media such as videoconferencing or the Internet. Critical
care nurses work in critical or intensive care hospital units and provide
care to patients with cardiovascular, respiratory, or pulmonary failure. Emergency, or trauma, nurses work in hospital emergency departments and treat
patients with life-threatening conditions caused by accidents, heart attacks,
and strokes. Some emergency nurses are flight nurses, who provide medical care
to patients who must be flown by helicopter to the nearest medical facility. Holistic
nurses provide care such as acupuncture, massage and aroma therapy, and
biofeedback, which are meant to treat patients’ mental and spiritual health in
addition to their physical health. Home health care nurses provide
at-home care for patients who are recovering from surgery, accidents, and
childbirth. Hospice and palliative care nurses provide care for, and
help ease the pain of, terminally ill patients outside of hospitals. Infusion nurses administer medications, fluids, and blood to patients through
injections into patients’ veins. Long- term care nurses provide medical
services on a recurring basis to patients with chronic physical or mental
disorders. Medical-surgical nurses provide basic medical care to a variety
of patients in all health settings. Occupational health nurses provide
treatment for job-related injuries and illnesses and help employers to detect
workplace hazards and implement health and safety standards. Perianesthesia
nurses provide preoperative and postoperative care to patients undergoing
anesthesia during surgery. Perioperative nurses assist surgeons by
selecting and handling instruments, controlling bleeding, and suturing
incisions. Some of these nurses also can specialize in plastic and reconstructive
surgery. Psychiatric nurses treat patients with personality and mood
disorders. Radiologic nurses provide care to patients undergoing
diagnostic radiation procedures such as ultrasounds and magnetic resonance
imaging. Rehabilitation nurses care for patients with temporary and
permanent disabilities. Transplant nurses care for both transplant
recipients and living donors and monitor signs of organ rejection.
RNs
specializing in a particular disease, ailment, or condition are employed in
virtually all work settings, including physicians’ offices, outpatient
treatment facilities, home health care agencies, and hospitals. For instance, addictions
nurses treat patients seeking help with alcohol, drug, and tobacco
addictions. Developmental disabilities nurses provide care for
patients with physical, mental, or behavioral disabilities; care may include
help with feeding, controlling bodily functions, and sitting or standing
independently. Diabetes management nurses help diabetics to manage their
disease by teaching them proper nutrition and showing them how to test blood
sugar levels and administer insulin injections. Genetics nurses provide
early detection screenings and treatment of patients with genetic disorders,
including cystic fibrosis and Huntington’s disease. HIV/AIDS nurses care
for patients diagnosed with HIV and AIDS. Oncology nurses care for
patients with various types of cancer and may administer radiation and
chemotherapies. Finally, wound, ostomy, and continence nurses treat
patients with wounds caused by traumatic injury, ulcers, or arterial disease;
provide postoperative care for patients with openings that allow for
alternative methods of bodily waste elimination; and treat patients with
urinary and fecal incontinence.
RNs
specializing in treatment of a particular organ or body system usually are
employed in specialty physicians’ offices or outpatient care facilities,
although some are employed in hospital specialty or critical care units. For
example, cardiac and vascular nurses treat patients with coronary heart
disease and those who have had heart surgery, providing services such as
postoperative rehabilitation. Dermatology nurses treat patients with
disorders of the skin, such as skin cancer and psoriasis. Gastroenterology
nurses treat patients with digestive and intestinal disorders, including
ulcers, acid reflux disease, and abdominal bleeding. Some nurses in this field
also specialize in endoscopic procedures, which look inside the
gastrointestinal tract using a tube equipped with a light and a camera that can
capture images of diseased tissue. Gynecology nurses provide care to
women with disorders of the reproductive system, including endometriosis,
cancer, and sexually transmitted diseases. Nephrology nurses care for
patients with kidney disease caused by diabetes, hypertension, or substance
abuse. Neuroscience nurses care for patients with dysfunctions of
the nervous system, including brain and spinal cord injuries and seizures. Ophthalmic nurses provide care to patients with disorders of the eyes, including
blindness and glaucoma, and to patients undergoing eye surgery. Orthopedic
nurses care for patients with muscular and skeletal problems, including
arthritis, bone fractures, and muscular dystrophy. Otorhinolaryngology
nurses care for patients with ear, nose, and throat disorders, such as
cleft palates, allergies, and sinus disorders. Respiratory nurses provide care to patients with respiratory disorders such as asthma,
tuberculosis, and cystic fibrosis. Urology nurses care for patients with
disorders of the kidneys, urinary tract, and male reproductive organs,
including infections, kidney and bladder stones, and cancers.
Finally, RNs
may specialize by providing preventive and acute care in all health care
settings to various segments of the population, including newborns
(neonatology), children and adolescents (pediatrics), adults, and the elderly
(gerontology or geriatrics). RNs also may provide basic health care to patients
outside of health care settings in such venues as including correctional
facilities, schools, summer camps, and the military. Some RNs travel around the
United States
and abroad providing care to patients in areas with shortages of medical
professionals.
Most RNs
work as staff nurses, providing critical health care services along with
physicians, surgeons, and other health care practitioners. However, some RNs
choose to become advanced practice nurses, who often are considered primary
health care practitioners and work independently or in collaboration with physicians.
For example, clinical nurse specialists provide direct patient care and
expert consultations in one of many of the nursing specialties listed above. Nurse
anesthetists administer anesthesia, monitor patient’s vital signs during
surgery, and provide post-anesthesia care. Nurse midwives provide
primary care to women, including gynecological exams, family planning advice,
prenatal care, assistance in labor and delivery, and neonatal care. Nurse
practitioners provide basic preventive health care to patients, and
increasingly serve as primary and specialty care providers in mainly medically
underserved areas. The most common areas of specialty for nurse practitioners
are family practice, adult practice, women’s health, pediatrics, acute care,
and gerontology; however, there are many other specialties. In most States,
advanced practice nurses can prescribe medications.
Some nurses
have jobs that require little or no direct patient contact. Most of these
positions still require an active RN license. Case managers ensure that
all of the medical needs of patients with severe injuries and illnesses are
met, including the type, location, and duration of treatment. Forensics
nurses combine nursing with law enforcement by treating and investigating
victims of sexual assault, child abuse, or accidental death. Infection
control nurses identify, track, and control infectious outbreaks in health
care facilities; develop methods of outbreak prevention and biological
terrorism responses; and staff immunization clinics. Legal nurse consultants assist lawyers in medical cases by interviewing patients and witnesses,
organizing medical records, determining damages and costs, locating evidence,
and educating lawyers about medical issues. Nurse administrators supervise nursing staff, establish work schedules and budgets, and maintain
medical supply inventories. Nurse educators teach student nurses and
also provide continuing education for RNs. Nurse informaticists collect,
store, and analyze nursing data in order to improve efficiency, reduce risk,
and improve patient care. RNs also may work as health care consultants, public
policy advisors, pharmaceutical and medical supply researchers and
salespersons, and medical writers and editors.
Where Nurses
Work
Nurses work
in all sorts of places. To give you some
idea about that we are including a list of ICNR member organizations. You can go to those websites and look at
Employment Opportunities or read about the organization to give you a small
sampling of the many opportunities that exist for nurses.
ICNR Members 2006
Organizations Website
Addresses
ADN Council of Deans and Directors No website
Advance for Nurses www.advancefornurses.com
Advocate Health Care www.advocatehealth.com
Advocate Good Shepherd Hospital www.advocatehealth.com/gshp
Bromenn Healthcare www.bromenn.org
Carle Foundation Hospital www.carle.com
Chicago Bilingual Nurse
Consortium No website at this time
Children’s Memorial Hospital www.childrensmemorial.org
Condell Medical Center www.condell.org
Cook County Bureau of Health Services www.cchil.org/Cch/bureau.htm
Delnor Community Hospital www.delnor.com
Edward
Hospital www.edward.org
Elgin Community College www.elgin.edu
Elliott Enterprises and Consulting No website at this time
Elmhurst
Hospital www.emhc.org
Evanston Northwestern Healthcare www.enh.org
FHN (
Freeport Health Network) www.fhn.org
Graham Hospital School of Nursing www.grahamhospital.org
Greenville Regional Hospital www.greenvilleregionalhospital.com
Harper
College www.harpercollege.edu
Hospital Sisters Health
System-
IL
Region 4 No website
Illinois Association of
Colleges of Nursing
No website
Illinois Council of Directors
of Practical
Nursing Programs No website
Illinois Eastern Community Colleges www.iecc.edu
Illinois Health Care Association www.ihca.com
Illinois Hospital Association www.ihatoday.org
Illinois Org. of Associate Degree
Nurses www.NOADN.org
Illinois Organization of Nurse
Leaders www.ionl.org
Illinois Public Health Association www.ipha.com
Illinois
Valley
Community College www.ivcc.edu
Katherine Shaw Bethea Hospital www.ksbhospital.com
KishHealth System www.kishhealth.org
Krier Co. Inc. No website
Lewis and Clark Community College www.lc.edu
Licensed Practical Nurses Association
of IL No website
Loyola University Medical Center www.lumc.edu
Marianjoy Rehabilitation Hospital www.marianjoy.org
Mason District Hospital www.masondistricthospital.org
Memorial Health System www.mhsil.com
Mennonite College of Nursing at ISU www.mcn.ilstu.edu
Metropolitan Chicago Healthcare
Council www.mchc.com
National Association of Nurses with
Disabilities www.nond.org
Northern
Illinois University School of Nursing www.niu.edu
Northwest Community Healthcare www.nch.org
Nurse Educators of Illinois www.neionline.org
Nurses Lounge www.nurseslounge.com
Nursing Spectrum www.nursingspectrum.com
Olivet Nazarene University www.olivet.edu
OSF Saint James Hospital www.osfsaintjames.org
OSF St. Joseph Medical Center www.osfstjoseph.org
OSF St. Mary Medical Center www.osfstmary.org
Paris Community Hospital www.pariscommunityhospital.com
Parkland
College www.parkland.edu
Passavant Area Hospital www.passavanthospital.com
Pekin
Hospital www.pekinhospital.org
Provena Saint Joseph Medical Center www.provenasaintjoe.org
Rehabilitation Institute of Chicago www.ric.org
Richland Community College www.richland.edu
RML Specialty Hospital www.rmlspecialityhospital.org
Rush Copley Medical Center www.rushcopley.com
Rush University Medical Center www.rush.edu
Saint Alexius Medical Center www.stalexius.org
Saint Anthony College of Nursing www.sacn.edu
Saint Francis Medical Center College
of Nursing www.osfsaintfrancis.org
Saint Xavier University www.sxu.edu
SEIU Nurse Alliance www.seiu.org
Southern IL
University
Edwardsville
School
of Nursing www.siue.edu/NURSING
Trinity Christian College Department
of Nursing www.trnty.edu/depts/nursing
University of Chicago Hospitals www.uchospitals.edu
University of IL at
Chicago, College of Nursing www.uic.edu
University of
St. Francis College of Nursing
& Allied Health www.stfrancis.edu
West Suburban College of Nursing www.wscn.edu
Nurses’
Daily Routines
Once you
know what nursing is, it will be helpful to know what nurses do every day. To
read profiles of all types of nurses, visit: Nurses for a Healthier
Tomorrow
Is Nursing
For You?
If you’re
still not sure, The National Student Nurses’ Association (NSNA) has a great PDF
called “Is Nursing
For You”, which talks about getting into nursing and selecting a program.
Visit the main career page of the
NSNA
One Other
Thing
Nursing
school is tough. Nurses must start out
as good students or they won’t make it. It’s also important that you take the right courses is high school to
prepare you for the nursing curriculum, which is grounded in math and sciences. We’ve prepared a brochure for you to help you
with that. If you are in high school
now, see your health occupations teachers, your school nurse, and/or your
guidance counselor and ask them about preparation and courses for nursing.
High
School Requirements Brochure for Nursing School
PREPARING FOR A CAREER
IN NURSING
Provided by Blessing-Rieman
College of Nursing
Broadway at 11th,
Quincy,
IL
62301
217-228-5520, ext. 6961
or 6964
800-877-9140
www.brcn.edu
A Guide for High School
Students, Parents, and Counselors
Created by:
Blessing-Rieman
College of Nursing
Approved by: IL Assoc.
of Colleges of Nursing, IL Coalition for Nursing Resources
So what preparation in
High School will help you gain admission to the nursing program of your choice?
Here are some general
guidelines:
- Maintain a GPA of 3.0
or higher
- Be sure you are in
the upper half of your graduating class
- Gain experience using
computers, including keyboard skills
- Microsoft Word or
Word Perfect will be helpful in completing college assignments
- Prepare for the ACT
test and contact the College for minimum requirements
Nursing is an excellent
career choice. It's flexible, and has many specialty areas from which to
choose.
Nursing is in demand
around the world, provides excellent salaries, and is personally rewarding.
• If your school
offers a college prep track, be sure you are taking courses in that track, including:
4-6 units of English,
4-6 units of Science -
especially Biology and Chemistry,
3 units of Social
Studies
2 units of Math -
especially Algebra
Exact requirements may vary according to the college you attend.